I was one of the first two fellowship trained North Carolina shoulder specialists when I began my practice at Duke in 1992. My career over the past 23 years has focused on shoulder care and shoulder surgery. My practice focuses on the diagnosis and treatment of patients with all types of shoulder pain. All available resources are considered in improving the patient's symptoms and function without having to operate. But many patients need anatomic restoration of the shoulder to enable them the clinical improvement they seek. My practice Southeastern Orthopedics Shoulder Center, an affiliate of Duke Health, where I personally see and evaluate all patients during each of their visits. We try to personalize the care for all patients because even though we see many shoulders, it is paramount to state that every person's shoulder problem is different. Every person is different. We take pride in our pain management strategies for patients who have shoulder surgery. Our anesthesiologists are terrific with nerve blocks and we use multimodal strategies including cryotherapy to diminish the postoperative pain and improve overall the patients perioperative experience.